Gynecologic Surgery: What to Know Before You Commit
When a surgical recommendation comes up in a gynecology appointment, it’s worth slowing down. Most benign gynecologic conditions have more than one reasonable path forward, and the right choice depends on your anatomy, your goals, and what’s actually driving your symptoms. Understanding your options before you commit makes the decision yours. Key Takeaways Minimally invasive […]
What Is a Saline Infusion Sonohysterogram – And When Is It Actually the Right Test?
When something shows up on a routine ultrasound and your doctor says “we need a better look,” the next step isn’t always obvious. There are several ways to evaluate the inside of the uterus, and the differences between them matter more than most patients realize. A saline infusion sonohysterogram (SIS) is a targeted uterine imaging […]
When Pelvic Floor Symptoms Don’t Fully Resolve: What Urogynecology Treats and What It Doesn’t
Urogynecology is the right specialty for structural pelvic floor problems. But structural problems aren’t the only thing driving pelvic floor symptoms. If you’ve had a workup, tried a treatment, and still don’t have answers, the missing piece is often hormonal, systemic, or both. Key Takeaways Urogynecology excels at structural problems: prolapse, stress incontinence, and procedural […]
Minimally Invasive Surgery for Women: When Laparoscopic or Robotic-Assisted Approaches Make Sense (and When They Don’t)
When you’re facing a gynecologic surgery recommendation, the question you’re probably sitting with isn’t just “do I need this?” It’s “what does this actually involve, and is there a better way through it?” That question deserves a straight answer. Direct Answer Laparoscopic and robotic-assisted surgeries are minimally invasive approaches that use small incisions, a camera, […]
Benign Breast Conditions: What’s Actually Worth Worrying About (And What Isn’t)
Finding something unfamiliar in your breast is one of those moments where your mind immediately jumps to the worst possibility. Most of the time, what you’re feeling isn’t cancer. But “most of the time” doesn’t tell you what to do next, or whether your specific situation needs attention. Direct Answer Most benign breast conditions don’t […]
When Your Gynecology Care Isn’t Giving You Answers
By Michelle Sang, MD, FAARM, FACOG Something feels off, but your labs came back “normal.” You’ve mentioned the same symptom at two appointments and left with the same answer. Or maybe you walked out with a prescription and a vague sense that nobody actually explained what’s going on. That gap between care that checks boxes […]
Fertility Care in Portland: Finding the Right Starting Point for Your Situation
By Michelle Sang, MD, FAARM, FACOG Fertility care isn’t one-size-fits-all, and the right starting point depends on where you actually are, not where anxiety or marketing pressure says you should be. For most women, a thorough gynecological evaluation comes before anything else. It’s the step that tells you what you’re actually dealing with, and what, […]
When Should You Actually Do Something About That Symptom?
By Michelle Sang, MD, FAARM, FACOG Some symptoms are easy to dismiss. Irregular periods, low energy, a libido that quietly disappeared – these things tend to get filed under “probably stress” and left there, sometimes for years. The harder question isn’t whether something is wrong. It’s whether now is the right time to act. The […]